Individual
MS. STACIE RENAE NESSA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMSW
Contact information
Practice address
918 SE 11TH ST, DES MOINES, IA 50309-5324
(515) 282-9377
(515) 282-6162
Mailing address
918 SE 11TH ST, DES MOINES, IA 50309-5324
(515) 282-9377
(515) 282-6162
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
03708
IA
1041C0700X
Clinical Social Worker
03708
IA
1041S0200X
School Social Worker
03708
IA
Other
Enumeration date
11/14/2011
Last updated
11/14/2011
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